A client on peritoneal dialysis is concerned about the risk of infection at the catheter insertion site. Which of the following instructions should the nurse provide to the client?
"Change the catheter dressing every week."
"Use antibiotic ointment on the catheter site daily."
"Avoid touching the catheter site with clean hands."
"Clean the catheter site with hydrogen peroxide regularly."
The Correct Answer is C
A) This statement is incorrect. The catheter dressing should be changed regularly as per the healthcare provider's instructions, but it is not typically changed every week.
B) This statement is incorrect. The routine use of antibiotic ointment is not recommended, as it can lead to antibiotic resistance and is not necessary for all clients on peritoneal dialysis.
C) To reduce the risk of infection, the client should avoid touching the catheter site with clean hands. Maintaining proper hand hygiene is essential to prevent infection.
D) This statement is incorrect. Cleaning the catheter site with hydrogen peroxide is not recommended, as it can be too harsh and irritating to the skin. Instead, the site should be cleaned with mild soap and water or as instructed by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Incorrect. Administering a calcium channel blocker is not the first-line intervention for muscle cramps during dialysis.
B. Incorrect. Slowing down the blood flow rate during dialysis may be necessary in some cases, but it is not the first action to address muscle cramps.
C. Correct. Muscle cramps during dialysis can be caused by electrolyte imbalances, such as low potassium levels. Offering the client a sports drink with electrolytes can help alleviate the cramps.
D. Incorrect. Applying a heating pad to the affected muscles is not recommended during dialysis, as it may cause burns or worsen the cramps.
Correct Answer is C
Explanation
A)This statement is incorrect. Administering an analgesic for the headache may provide temporary relief, but it does not address the underlying issue of fluid overload and elevated blood pressure.
B) This statement is incorrect. Notifying the healthcare provider about the blood pressure changes is important, but assessing for fluid overload and taking appropriate actions should be the nurse's priority.
C) This statement is accurate. Headache and restlessness during hemodialysis, along with elevated blood pressure, may indicate fluid overload. The nurse should assess the client's weight and fluid intake during the dialysis session to determine if there is excessive fluid retention.
D) This statement is incorrect. Increasing the dialysate solution flow rate may not be appropriate without further assessment of the client's fluid status. It could worsen the fluid overload and further increase blood pressure.
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